Division of Child Behavioral Health, Department of Pediatrics & Communicable Diseases, University of Michigan, Ann Arbor, Michigan 48109-5318, USA.
Semin Reprod Med. 2012 Oct;30(5):443-52. doi: 10.1055/s-0032-1324729. Epub 2012 Oct 8.
Research on the psychological development of persons with Disorders of Sex Development (DSD) has focused on understanding the influence of atypical sex hormone exposure during steroid-sensitive periods of prenatal brain development on the process of psychosexual differentiation (i.e., gender identity, gender role, and sexual orientation). In contrast, analysis of clinical management strategies has focused on gender assignment and the desirability and timing of genital surgery. This review focuses on the psychological issues that confront clinicians managing the care of persons born with DSD and their families. Particular attention is paid to processes and factors that potentially mediate or moderate psychosocial and psychosexual outcomes within and across developmental stages.
性发育障碍（DSD）患者的心理发展研究集中于了解产前大脑发育的类固醇敏感时期中异常性激素暴露对心理性别分化（即性别认同、性别角色和性取向）过程的影响。相比之下，对临床管理策略的分析则集中于性别分配以及生殖器手术的可取性和时机。本综述重点介绍了管理 DSD 患者及其家庭护理的临床医生所面临的心理问题。特别关注了在各个发育阶段内和之间潜在调节或影响心理社会和心理性别结果的过程和因素。
